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29 Cards in this Set
- Front
- Back
Epidemiology of suicide? |
Ratio of attempted to completed suicide is 20:1 |
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Do more males of females attempt suicide? |
Females (M:F ratio is 1:4) |
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Do more males or females complete suicide? |
Males (M:F ratio is 3:1) |
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What is the acronym to remember the suicide risk factors? |
SAD PERSONS |
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List the risk factors for suicide (remember the acronym!)
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S = sex A = age (>60 yr) D = depression P = previous attempts E = ethanol abuse R = rational thinking loss (delusions, hallucinations, hopelessness) S = suicide in the family O = organized plan N = no spouse (no support systems) S = serious illness, intractable pain |
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T/F: suicide is the second most common cause of death for ages 15-24? |
True |
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Which races have high suicide risk? |
White or native Canadians on reserves |
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Lifetime risk of suicide in depression? |
15% (even higher in Bipolar disease) |
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Lifetime risk of suicide in patients with schisophrenia? |
10-15% |
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Lifetime risk of suicide if concomittant substance abuse disorder? |
15% lifetime risk |
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Lifetime risk of suicide if patient has an eating disorder? |
5% |
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What about a patients past history may increase their risk of suicide? |
Prior suicide attempt Fmaily history of suicide attempt/completion |
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What clinical symptoms are associated with suicide? (7) |
SHAPPII |
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Defined passive ideation |
Would rather not be alive but has no active plan for suicide |
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Define active ideation |
Thinking about killings onself |
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How to ask about a plan? |
"Do you have a plan as to how you would end your life?" |
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How to ask about intent? |
"You talk about not wanting to die, but are you planning to do this? or "What has stopped you from ending your life?" |
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How to ask about past attempts of suicide? |
Highest risk if previous attempt in past year Ask about:
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Components of a suicide ideation assessment? |
ambivalence |
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How to assess suicide attempt? |
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How to manage high risk of suicide? |
Hospitalization needs to be strongly considered So, if patient has: plan access recent social stressors symptoms suggest of psych disorder |
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What to do if patient refuses to be hospitalized? |
Complete form for involuntary admission |
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How to manage lower risk patients? |
Patients who are not actively suicidal, with no plan or access to lethal means should make a safety plan |
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What is a safety plan? |
Agreement they will:
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How to manage patient with depression/suicide? |
consider hospitalization if symptoms severe or if psychotic features present, otherwise outpatient treatment with good supports and SSRIs/SNRIs |
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How to manage alcohol-related/suicide? |
Usually resolves with abstinence for a few days; if not, suspect depression |
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How to manage personality disorders/suicide? |
Crisis intervention/confrontation May or may not hospitalize |
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How to manage shizophrenia/psychosis/suicide? |
Hospitalization might be necessary |
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How to manage parasuicide/self-mutalation? |
Long-term psychotherapy with brief crisis intervention when necessary
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